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Chitosan

Drugs and Chemicals · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed9 referencesApproximately 3 min read

Deacetylated chitin, a linear polysaccharide of deacetylated beta-1,4-D-glucosamine.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 3 complete abstracts (532 words), 9 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

Deacetylated chitin, a linear polysaccharide of deacetylated beta-1,4-D-glucosamine. It is used in hydrogel and to treat wounds.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Poliglusam.

Where it fits in the MeSH classification

Broader topics
Chitin

Related concepts

  • Chitin
  • Hydrogel
  • Wounds

Research landscape

PubMed indexes 38,983 records tagged with the MeSH heading “Chitosan” (counts retrieved 2026-10-31). 18,882 of them (48.4%) were published from 2020 onward, and the busiest period so far is 2020 onward with 18,882 records.

Reviews account for 1,937 records (5.0%) and meta-analyses for 29. Randomized controlled trials number 178 (0.5%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 0 records; 2000-2009: 4,738 records; 2010-2019: 15,398 records; 2020 onward: 18,882 records0through 19994,7382000-200915,3982010-201918,8822020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19990
2000-20094,738
2010-201915,398
2020 onward18,882
Share of records by publication typeReviews: 5.0 percent; Meta-analyses: 0.1 percent; Randomized controlled trials: 0.5 percentReviews5.0% (1,937)Meta-analyses0.1% (29)Randomized controlled trials0.5% (178)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 38,983 PubMed records
TypeRecordsShare
Reviews1,9375.0%
Meta-analyses290.1%
Randomized controlled trials1780.5%

Method: PubMed query "Chitosan"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in drugs and chemicals

Studies of a chemical or drug can answer very different questions: what it is and how it behaves in cells and animals, how the body handles it, and whether it changes outcomes in people. Laboratory and animal findings often do not carry over to patients, and observational studies of exposures are confounded by who uses a substance and why. Nothing on this page is a recommendation to use, avoid, start or stop any substance or medicine; talk to a qualified clinician or pharmacist about your own situation. Check the dose, the species, the comparison group and whether a patient-relevant outcome was measured.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Alginate and chitosan-coated ferulic acid-loaded selenium nanoparticles: synthesis, characterization, and anticancer activity against MDA-MB-231 breast cancer cells
Çetin DP, Seçme M, İlhan H, Sağlam N
2025Research article
Design not recorded in structured metadata
11cc by
PMID 40325268 · DOI · PMC12053028
Chitosan activates NLRP3 inflammasome and cGAS-STING to suppress cancer progression through hexokinase 2 dissociation and mitochondrial dysfunction
Li L, You L, Bi Z, Zhang Z, Ying B, Luo M, et al.
2025Research article
Design not recorded in structured metadata
9cc by
PMID 40860135 · DOI · PMC12374619
Recent Applications of Chitosan-Based Biomaterials as Wound Dressings
Jin SG
2026Review article
Design not recorded in structured metadata
9cc by
PMID 41751771 · DOI · PMC12941076

Alginate and chitosan-coated ferulic acid-loaded selenium nanoparticles: synthesis, characterization, and anticancer activity against MDA-MB-231 breast cancer cells [1]

Research article Çetin DP, Seçme M, İlhan H, Sağlam N · · 2025 · cited 11 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Triple-negative breast cancer (TNBC), characterized by its aggressive behavior and lack of targeted therapies, remains a major therapeutic challenge.
Closing excerpt
These findings highlight the therapeutic promise of biopolymer-coated SeNPs, particularly alginate-coated formulations, as targeted drug delivery systems for TNBC.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (141 words)

Triple-negative breast cancer (TNBC), characterized by its aggressive behavior and lack of targeted therapies, remains a major therapeutic challenge. This study presents the synthesis and evaluation of ferulic acid-loaded selenium nanoparticles (FA-SeNPs) coated with alginate (Alg@FA-SeNPs) and chitosan (CS@FA-SeNPs) as potential nanocarriers for TNBC treatment. Ferulic acid was selected for its pro-apoptotic and anti-metastatic properties, despite its limited bioavailability. Encapsulation in SeNPs enhanced its stability and delivery efficiency. Alg@FA-SeNPs exhibited greater cytotoxicity (IC50: 103.6 µg/mL) than CS@FA-SeNPs (IC50: 178 µg/mL) after 48 h. Gene expression analyses showed significant H2AX upregulation with Alg@FA-SeNPs, indicating genotoxic stress, and marked Bcl-2 downregulation with CS@FA-SeNPs, favoring apoptosis. Zeta potential measurements confirmed near-neutral surface charge for Alg@FA-SeNPs and strong positive charge for CS@FA-SeNPs, supporting good colloidal stability. These findings highlight the therapeutic promise of biopolymer-coated SeNPs, particularly alginate-coated formulations, as targeted drug delivery systems for TNBC.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 40325268 · DOI · PMC12053028

Chitosan activates NLRP3 inflammasome and cGAS-STING to suppress cancer progression through hexokinase 2 dissociation and mitochondrial dysfunction [2]

Research article Li L, You L, Bi Z, Zhang Z, Ying B, Luo M, et al. · · 2025 · cited 9 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Background: Chitosan, a natural polysaccharide with known immunostimulatory potential, has shown promise in cancer therapy.
Closing excerpt
These findings support chitosan's potential as a multifunctional immunoadjuvant for improving immunotherapy in resistant cancers.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (224 words)

Background: Chitosan, a natural polysaccharide with known immunostimulatory potential, has shown promise in cancer therapy. However, its direct role in modulating antitumor immunity and the underlying mechanisms remain unclear. This study aimed to explore how unmodified chitosan influences tumor progression and immune responses through innate immune signaling pathways. Methods: Murine tumor models (CT26, B16-F10) were used to evaluate the antitumor effects of chitosan in vivo. Flow cytometry and histological analyses assessed changes in immune cell infiltration. Primary macrophages and gene knockout models were used to investigate the molecular mechanisms, including inflammasome activation, mitochondrial function, and hexokinase 2 (HK2) location, via ELISA, western blotting, mitochondrial assays. Results: Chitosan treatment suppressed tumor growth and metastasis, while promoting infiltration of neutrophils, monocytes, and activated T cells in the tumor microenvironment. Mechanistically, chitosan and its bioactive degradation product, N-acetylglucosamine (NAG), induced the dissociation of HK2 from mitochondria, triggering mitochondrial dysfunction, ROS overproduction, and mtDNA release. These signals jointly activated both the NLRP3 inflammasome and the cGAS-STING pathway. The antitumor effect of chitosan was attenuated in Nlrp3 -/- and Sting -/- mice, confirming the essential roles of both pathways. Conclusions: Chitosan orchestrates dual activation of NLRP3 and cGAS-STING signaling via HK2 dissociation and mitochondrial dysfunction, reprogramming the tumor immune microenvironment and enhancing antitumor immunity. These findings support chitosan's potential as a multifunctional immunoadjuvant for improving immunotherapy in resistant cancers.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 40860135 · DOI · PMC12374619

Recent Applications of Chitosan-Based Biomaterials as Wound Dressings [3]

Review article Jin SG · · 2026 · cited 9 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Chitosan is a natural biopolymer for advanced wound healing due to its antimicrobial activity, biocompatibility, and hemostatic properties.
Closing excerpt
However, overcoming challenges associated with material diversity and establishing standardized manufacturing processes and clinical trials remain critical for successful commercialization.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (167 words)

Chitosan is a natural biopolymer for advanced wound healing due to its antimicrobial activity, biocompatibility, and hemostatic properties. However, its clinical utility is limited by its low solubility and poor mechanical properties. This review summarizes recent strategies that have successfully overcome these shortcomings, focusing on the development of multifunctional chitosan hybrid dressings. These dressings, which include hydrogels, hydrocolloids, films, sponges, and scaffolds, are now being fabricated using advanced systems like electrospinning, 3D printing, microneedle (MN), and nanocomposites technologies to maximize wound healing efficacy. Specifically, modification techniques used to overcome chitosan's shortcomings include: (1) chemical derivatization to enhance solubility, (2) polymer hybridization with natural and synthetic materials to enhance mechanical properties, and (3) functionalization with active ingredients. These materials, including metal/inorganic nanoparticles, natural compounds, and amino acids, are added to maximize therapeutic efficacy. In conclusion, chitosan hybrid materials and dressings provide an excellent foundation for next-generation wound dressings. However, overcoming challenges associated with material diversity and establishing standardized manufacturing processes and clinical trials remain critical for successful commercialization.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41751771 · DOI · PMC12941076

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Chitosan, alginate, hyaluronic acid and other novel multifunctional hydrogel dressings for wound healing: A review [4]
    Yuan N, Shao K, Huang S, Chen C · Int J Biol Macromol · 2023 · cited 221 times (Europe PMC)
  • Research article Chitosan-based self-healing hydrogel dressing for wound healing [5]
    Zhang X, Liang Y, Huang S, Guo B · Adv Colloid Interface Sci · 2024 · cited 197 times (Europe PMC)
  • Research article Chitosan-based hydrogel wound dressing: From mechanism to applications, a review [6]
    Zhao J, Qiu P, Wang Y, Wang Y, Zhou J, Zhang B, et al. · Int J Biol Macromol · 2023 · cited 158 times (Europe PMC)
  • Research article Smart stimuli-responsive chitosan hydrogel for drug delivery: A review [7]
    Tian B, Liu J · Int J Biol Macromol · 2023 · cited 125 times (Europe PMC)
  • Research article Chitosan-Based Hemostatic Hydrogels: The Concept, Mechanism, Application, and Prospects [8]
    Fan P, Zeng Y, Zaldivar-Silva D, Agüero L, Wang S · Molecules · 2023 · cited 89 times (Europe PMC)
  • Research article Chitosan scaffolds: Expanding horizons in biomedical applications [9]
    Gholap AD, Rojekar S, Kapare HS, Vishwakarma N, Raikwar S, Garkal A, et al. · Carbohydr Polym · 2024 · cited 86 times (Europe PMC)

References

  1. Çetin DP, Seçme M, İlhan H, Sağlam N. Alginate and chitosan-coated ferulic acid-loaded selenium nanoparticles: synthesis, characterization, and anticancer activity against MDA-MB-231 breast cancer cells. . 2025. PMID 40325268 · DOI · PMC12053028
  2. Li L, You L, Bi Z, Zhang Z, Ying B, Luo M, et al.. Chitosan activates NLRP3 inflammasome and cGAS-STING to suppress cancer progression through hexokinase 2 dissociation and mitochondrial dysfunction. . 2025. PMID 40860135 · DOI · PMC12374619
  3. Jin SG. Recent Applications of Chitosan-Based Biomaterials as Wound Dressings. . 2026. PMID 41751771 · DOI · PMC12941076
  4. Yuan N, Shao K, Huang S, Chen C. Chitosan, alginate, hyaluronic acid and other novel multifunctional hydrogel dressings for wound healing: A review. Int J Biol Macromol. 2023. PMID 37019198 · DOI
  5. Zhang X, Liang Y, Huang S, Guo B. Chitosan-based self-healing hydrogel dressing for wound healing. Adv Colloid Interface Sci. 2024. PMID 39121832 · DOI
  6. Zhao J, Qiu P, Wang Y, Wang Y, Zhou J, Zhang B, et al.. Chitosan-based hydrogel wound dressing: From mechanism to applications, a review. Int J Biol Macromol. 2023. PMID 37307982 · DOI
  7. Tian B, Liu J. Smart stimuli-responsive chitosan hydrogel for drug delivery: A review. Int J Biol Macromol. 2023. PMID 36871689 · DOI
  8. Fan P, Zeng Y, Zaldivar-Silva D, Agüero L, Wang S. Chitosan-Based Hemostatic Hydrogels: The Concept, Mechanism, Application, and Prospects. Molecules. 2023. PMID 36771141 · DOI · PMC9921727
  9. Gholap AD, Rojekar S, Kapare HS, Vishwakarma N, Raikwar S, Garkal A, et al.. Chitosan scaffolds: Expanding horizons in biomedical applications. Carbohydr Polym. 2024. PMID 37940287 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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Evidence strength

EvidenceHelix's computed view of the study designs behind this topic: how common meta-analyses, randomized trials and reviews are, how recent the literature is, and a plain-language reading. It describes the design mix of the literature. It is not a quality appraisal of any study, and it is not medical advice.

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All 546 articles in Drugs and Chemicals →

At a glance

38,983
PubMed records on this heading
48%
published since 2020
1,937
review articles
178
randomized trials
9
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • ChitinDrugs and Chemicals
  • CelluloseDrugs and Chemicals
  • DextransDrugs and Chemicals
  • GlucansDrugs and Chemicals
  • InulinDrugs and Chemicals

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Sources

  • NLM MeSH record ↗
  • PubMed search used ↗

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